Abstract：
The objective of the review was to determine the long-term outcomes of necrotising pneumonia (NP). Studies published since 1990 in English, Portuguese, or Spanish, published on PubMed and Scielo were evaluated. Our findings showed ultrasound scanning is the diagnostic modality of choice. Despite prolonged hospitalisation (median 13-27 days) and fever (median 9-16 days), most patients recover completely. Empyema and bronchopleural fistulae are frequent in bacterial NP. Streptococcus pneumoniae is the most prevalent cause. Seventeen studies with 497 patients followed for 30 days to 8.75 years showed that most patients were clinically asymptomatic and had normal lung function. X-ray or CT chest imaging demonstrated that almost all lung lesions recovered within 4-6 months. We suggest that it is not necessary to request frequent chest X-rays during the treatment and recovery process. Chest CT scans should be reserved for specific cases not following the expected clinical course.
摘要：
本综述的目的是确定坏死性肺炎（NP）的长期结局。自1990年以来以英文发表的研究，葡萄牙语,或者西班牙语,在PubMed和Scielo上发表的文章进行了评估。我们的发现表明，超声扫描是首选的诊断方式。尽管长期住院（中位数13-27天）和发烧（中位数9-16天），大多数患者完全康复。脓胸和支气管胸膜瘘在细菌性NP中常见。肺炎链球菌是最普遍的病因。对497名患者进行了17项研究，随访30天至8.75年，表明大多数患者临床无症状，肺功能正常。X线或CT胸部成像显示，几乎所有肺部病变均在4-6个月内恢复。我们建议在治疗和恢复过程中不必要求频繁的胸部X光检查。胸部CT扫描应保留用于未遵循预期临床病程的特定病例。
